conversations
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[
{
"from": "human",
"value": "Source: Patient: I have recently been feeling a certain pain in the lower part of my mouth. It s been going on for two days now. I thought it was just because of my toothbrush, but I checked in the mirror, and I noticed a white circle in between the bottom part of my gum and my lip. The pain is incredible and I am not sure if I should apply orajel to it. Doctor: hello welcome to HCM, I just went through your problem & it is known as Apthous ulcers & they are really painful. Common Causes can be:- -Improper food habits like taking much of spicy food -Gastric upset -Stress problem -Hormonal changes -Nutritional deficency -Improper Oral hygiene -Lastly if its reccuring then it can be due to some sharp cusp. What all you need to do is improve her dietary habits like include more of green vegetables & less oily & spicy food. Also start with Tenvit-Plus capsules along with application of some anaesthetic gel like dologel or Mucopain gel. You can also go for tetracycline mouthwash. All these will definitely help you out. Take Care Regards Dr.Neha"
},
{
"from": "gpt",
"value": "Target: Pain in lower part of mouth, have white circle between bottom part of gum and lip. Can I apply orajel?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir, My dad has bronchitis from past few years, he is 63 yrs of age, coughing and problem in breathing increases during morning and evening hours. He doesn t want to visit a hospital, therefore, if you could advise a specialist doctor s clinic in south delhi, and precatuions that we could take avoid its intensification. regards, Manoj Doctor: as per ur father age , he is suffering from chronic bronchitis < COPD >. copd is irreversible and progressive disease. avoid smoking , air pollution. your father have to take rx. in delhi, NATIONAL COLLAGE OF CHEST PHYSICIAN, DELHI AND NATIONAL ALLERGY CENTER , DELHI."
},
{
"from": "gpt",
"value": "Target: Bronchitis Treatement"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am in my early tweenties. I have this dark pigmentation around my mouth and the jaw region on my face. It has suddenly occured this winter and i ve been trying some home remedies to get rid of it but nothing seems to work. Please Help...im really conscious of it :( Doctor: HIThank for asking to HCMI really appreciate your concern and looking to the history given here I would like to say that iron deficiency could be the reason for this and in my opinion this need to be ruled out no need to apply any thing on this, correction of iron deviancy would improve the symptom take care and have a nice day."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pigmentation around mouth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went in to emergency last night with possible kidny stones they did an ultra sound and took blood but wad told there were no stones but that my left looked like it was draining slower then the right but again here I sit 8n pain through my lower back up through my side what do.I do Doctor: Hello,If you provide some more information, then it will be more helpful. What is the exact location of pain? Is the pain constant? Are there any relieving factors like heat application? Whether taking food increases pain?Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Nishad BN"
},
{
"from": "gpt",
"value": "Target: How can pain in the lower back be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ever since I went to the gym 2days ago. my middle back is in pain and it almost feels like its heavy and my breath is normal just feels like its hard to breath a little. I did alot of reps for a upper and lower back workout on the gym machines with weights. could this be why? did I over work my back? Doctor: Hello,I had gone through the case and found that it might be muscle spasm which trapped the nerve and causes pain .So take mild painkiller and apply muscle relaxant gel .Avoid gym for few days and do exercise under supervision .Take Vitamin D3 intake once a week .Hope my answer will be effective for you.Thanks"
},
{
"from": "gpt",
"value": "Target: Can strenuous work out in gym cause back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having severe pain in my lower abdomen. It s across my whole abdomen, from side to side. It is a constant stabbing pain. It gets worse when I walk, stand up or sit down. It hurts if I even barely touch my stomach. It hasn t gone away since yesterday around noon. I was told several months back that I have Gallstones, but I m not sure i this is related to that. It is extremely difficult to get seen by my doctor and I don t know what to do. I tried ibuprophen, advil and mortrin and nothing helps. What could be going on? Should I go to the Emergency room? Doctor: Hi, Your symptoms may be suggestive of gallbladder stones so you should do at least an ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are see more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. Other causes include pancreatitis or pleurodynia and should be considered if gallbladder stones are ruled out. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes severe lower abdominal pain while having gallstones?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I went to the doctor around June last year and he discovered my white blood cell count (neutrophils low and lymphs low) was low around 2.8. He said we would test it again in 6 months to see. In 6 months it went down to 2.3 and a week later 1.8. My total protein is also elevated (gamma globlin). I don't believe I have any other symptoms besides that. Recently I have had pain in my right bottocks and hip and a burning sensation on my shoulder blades which I sometimes get from stress. I am a little nervous and have a hematologist appointment scheduled, but I am wondering what it could be. Also last year I had an allergic reaction to penicillin and could possibly be allergic to other things. Doctor: Hello,Welcome and thanks for your query.There are several causes for decreased white blood cell count . It is likely to be either an autoimmune destruction or a defect in the formation of the WBCs like in myelodysplastic syndrome. A condition called aleukemic leukemia is alo possible but less likely. It is important that you have a bone marrow biopsy done and also investigated for autoimmune diseases like SLE.Do get back to me if you have further queries."
},
{
"from": "gpt",
"value": "Target: How to improve the white blood cell count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 40 year old male, executive level with high stress job, prescribed vyvanse 70 mg and adderall booster for about 3 - 4 months. finding that i am using more than prescribed. have stopped a couple of times during the 4 months but find myself going back to the scripts. i think i should stop using the drugs alltogether but am concerned about withdraw and relapse. guess im looking for advice Doctor: Hello Please do not use any drug more than prescribed by your doctor .Please consult your doctor /Psychiatrist and discuss your drug issues and problems and follow the given advice .That you take care of your health Recover son Dr LalPsychiatrist"
},
{
"from": "gpt",
"value": "Target: Shall i stop using vyvanse and adderall altogether? Should i be worried about the withdraw and relapse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi..i am 37 year old woman and have slightly thalesimia and thyroid which is in control.I got altitude problem as whenever i travel by air i feel breathless and doctor prescribed me asthalin,IS IT SAFE AND EFFECTIVE to take this inhaler,otherwise i dont have any breathing problem please guide....thx.. Doctor: HI Thank for asking to HCMI really appreciate your concern, if you do have condition like asthma or asthma it self then the \"Asthalin\" is the right choice for you and it is safe for you no matter if you have Thalassemia, you can use this inhaler every where this is much better than the oral medication, hope this information helps you, take care and have a nice day."
},
{
"from": "gpt",
"value": "Target: Is it safe to take Asthalin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am suffering from iron deficiency doctor gives me orofer s i.v, doctor says heomoglobin does not absorb from orally, could you suggest me what precaution should i takei am sensitive to NSAIDS I look forward to hearing from u soonThanking youShikha sahu ( YYYY@YYYY ) Doctor: Hematinics are alright to take.To avoid side effects of iron, they are preferrably taken with meals to prevent diarrhea/constipation.eat plenty of green leafy vegetables an dfruiits rich in iron like banana,apple skin,pappaya. avoid NSAIDS."
},
{
"from": "gpt",
"value": "Target: What could cause iron deficiency?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...My 7 year old has a fever of 104.2. I gave him motrin 1/2 hour ago and will check the temp again in a few minutes. He started 2 nights ago with a fever around 102. He threw up that night. Yesterday he had 102 in morning and motrin took it down. Yesterday afternoon it was 102.2 and climbed to 102.9. After piggy backing motrin and tylenol, it went down to around 99 before he went to bed. He had 102 this morning. Overall, he s been lethargic, coughing a bit, but nothing too alarming about his behavior. His hands are cold and he says the light bothers his eyes. I know high fevers can be dangerous. Should I bring him to a walk in clinic? Or should I see if the motrin pulls it down and monitor him? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If the child is having fever, vomiting, conjunctivitis and is lethargic for 3 days, and not relieved by paracetamol then you need to consult a pediatrician. Your doctor may ask for blood investigation and may add some antibiotics, antiemetics, etc., depending upon the investigation reports.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I just noticed a large lump on the opening of my anus this morning. Very painful. Could have been there for a while but I began noticing it because of the pain. Hurts constantly, not just with bowel movements. It appears to be flesh color with no bleeding. It is just a bit smaller than a grape. No change of bowel habits and feeling fine otherwise. Should I try prep h for a while or see a doctor first? Doctor: Hi.Thanks for your query and an elucidate history.See the Doctor and ask his to see what it is ?This looks to be prolapsed thrombosed pile ( hemorrhoid).Timely putting this inside the rectum will help to reduce the pain and swelling both.Get this done fast. You too can try to push it in. Do not worry , nothing sinister happens. IT this is prolapsed pile , you have to get it operated."
},
{
"from": "gpt",
"value": "Target: What causes a large painful lump on the opening of the anus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes, About a month ago I noticed there was a blood filled sac under my breast and it was very painful, I ignored it, and after a while it really started to hurt. I looked again closer and there was a small hole where white puss was coming out and has continued to leak this substance. This morning when I awoke I had a large red rash underneath my large breast. I am worried, have any ideas on what it might be?? Doctor: Hi,From history it seems that you might be having developed breast abscess producing swelling and induration.Go for proper dressing by your doctor only.Go for one antibiotic medicine course for 5-7 days.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What could blood filled sac, under the breast, with rashes suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: When I lay down on my back for a while or durring the night my chest feels heavy and full. I cant lay for very long in this position with out it start being very uncomfortable. Sometimes I get some sharp pains in my chest that come and go. Also have a cough that is dry and random. I have had PVC diagnosed by a cardiologist. I also have high blood presure. Lately around 150/85 Just trying to see if the pain and heaviness in my chest is related to my heart. Doctor: The history you suggests fits in what we call orthopnea, I would strongly suggest you to get a 2d echo to know for two things the ejection fraction and diastolic dysfunction grading, it should rule out cardiac part. If abnormal do consult your cardiologist. If normal mostly it is pleuritic(related to lungs) causing dry cough"
},
{
"from": "gpt",
"value": "Target: What causes chest pain and cough? Is this related to heart?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have ADD and am 61 years old. I have been on Adderall 30 mg twice a day. I am building up a tolerance for that dosage. It is recommended 30mg a day, but it does not say you can t go higher or it is illegal. I want to go Adderall 30 mg 3 x a day. What should I say to my psychiatrist? Doctor: HiThanks for using healthcare magicMaximum effective dose of adderall is 60mg and you have been taking same dose. It would be better if you stay on same dose, otherwise it could lead to side effects like arrhythmia, chest pain, heart attack, headache, anxiety symptoms due to its stimulant effect. I would not suggest you for higher dose, that is risky for you.Thanks"
},
{
"from": "gpt",
"value": "Target: Can I take Adderall 30 mg 3 x a day for ADD?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,After a stressful month, I suffered 105 fever, after this i felt tremors in my head and right side leg, hand and bluriness in eye. The stroke of these symptooms are usually occurs while I am sleeping. My all medical reports including MRI are normal. Kindly suggest.Narender YYYY@YYYY Doctor: Hello!Welcome on Healthcaremagic!Your symptoms could be related to a sleep disorder or anxiety. Epilepsy seizures can not be excluded either. For this reason, I would recommend consulting with a neurologist for a careful physical check up and some tests: - complete blood count for anemia- vitamin D and blood electrolyte levels for possible imbalance- an EEG with sleep deprivation or a polysomnogram are necessary to investigate for seizures or a sleep disorder. Hope you will find this answer helpful!Best wishes, Dr. Aida"
},
{
"from": "gpt",
"value": "Target: Why am I feeling tremors in my head and right side leg and hand?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir , I have undergone a pyloplasty surgery of my left renal pelvis ureter near left kidney since last 23 days through an eft abdominal cut of about 6 inches , Now I observed a visible swelling at about one inch above from the stiches (cut area). I want to know why it is so. Doctor: Yes you must be. Any swelling in the stitches means either an infection or collection of fluid underneath. Both are not good. Must visit your doc ASAP"
},
{
"from": "gpt",
"value": "Target: Is it to be concerned about the swelling in the stitches after surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,My 6 year old who is FULLY potty trained has recently started peeing on his floor in his room. We have told him to stop that big boys pee in the potty, we have redirected, disciplined. I am worried because this is just not normal. He s also been on lamictal for 3 months now, is there any chance the medication is causing this? HELP! Doctor: No lamictal not causing this . it may be becose of Anxiety or some other problem u should consult it doctor and may take advise."
},
{
"from": "gpt",
"value": "Target: Could medication with Lamictal cause abnormal behavior?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am trying to conceive from last 2-3 months (age 30 yrs). We have intercourse during the fertile period, i lay for 10 mins after that but still its not working out. I got few questions like - do i need to lay down after intercourse and if yes for how long. There is always leak and i am not sure if sperms are getting in there and reaching to where it can conceive. - lets say if i lay for the prescribed time, after that can i pee and clean myself. I don t feel comfortable until i clean myself If there are any other suggestions, please advise. Thanks. Doctor: Hi, You should know the position of your uterus to take some precautions after the intercourse. It is advisable to lie still for at least half-an-hour on your back if you have an anteverted uterus and on your abdomen in the prone position if you have a retroverted uterus. Do not wash your soft parts with strong solutions as they are going to harm the sperms deposited, just use plain water if you need it. Good luck."
},
{
"from": "gpt",
"value": "Target: Trying to get pregnant. Having intercourse during fertile period. How long should I lay down after intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 36 years old and for past 7 weeks I am taking lanzol 30 for acidity prescribed by my doctor. Now I am almost done with the course. But the day i do not take lanzol 30mg I feel pain in the stomach and a lot of uneasiness. How can I stop this medicine? Doctor: Hello, The pain is due to severe gastritis and acid reflux. You can gradually taper and stop the antacid like lanzole. Sudden stoppage of the pill might result in a rebound increase in acid secretion and symptoms will reappear. Avoid spicy foods and alcohol. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How can i stop prescribed medicine as causing uneasiness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Gud pm im thereza from philippines pls help me i need pediatrician hematology to explain my 3yrs old son cbc result this is the result hypochomic microcytic red cells with note of fragmented cells. Target cells with basophilic stippling. Leukocytes appear normal. Lymphocytes predominant. No abnormal seen. Platelets increased Please correlate clinicaly. PBS picture may still beconsistent with a nutrinitional anemia but a concomittant thalassemia trait cannot entirely be ruled out. Pls i need answer becuase im so worried of my son conditions.. thanks and godbless Doctor: The picture is suggestive of Thalassemia but it can also be caused by iron deficiency anemia. You have not mentioned the hemoglobin level. It maybe necessary to estimate serum iron and iron binding capacity if there is any doubt. If there is family history of Thalassemia it is better to get it done. Otherwise child may be given iron and hemoglobin repeated after about two weeks."
},
{
"from": "gpt",
"value": "Target: Hypochromic microcytic red cells, Leukocytes normal, increased platelets"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got stung yesterday, I took my epi and Benadryl. I have been allergic all my life. I'm 55. The swelling seemed to go down and it looked ok this morning. Now a day and a half later it's swelling bery red hot to the touch and very uncomfortable. Is this normal Doctor: Hi i do care for your concern. The medicines that you have taken will suffice for an insect sting. But now you have same symptoms again, i would advise to Consult your physician and get examined completely for remaining insect parts in the stung region, if so remove it. also do check for any new sting marks. continuing the benadryl will be enough. Hope i have answered your question, if you have more feel free to ask. Thank you."
},
{
"from": "gpt",
"value": "Target: What causes severe redness and swelling despite using Benedryl after an insect sting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: how to strenthen my spine. i have fracture at L2, in the past I had on at L1 and L5-S1 IN 2009 BY LIFTING a heavy bos. The cement was used then. This time I was lifting the thanksgiving turkey, but did not notice anything until llater on the pain started. went the doctor and physical thearpy was recommended. Doctor: My honest answer would be to avoid doing any exercises that are not recommended by a physical therapist referred by your doctor. There are many, many different kinds of L2 fractures, and some are unstable and others still require surgery. If physical therapy was recommended, then for your safety I would recommend going to a physical therapist as your doctor recommended for strengthening exercises."
},
{
"from": "gpt",
"value": "Target: Suggest strengthening exercises for L2 fracture"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I currently have Graves disease and it s looking like I ll be needing a thyroidectomy soon as my tfts are not being controlled by neomercazole and propranolol, I have twins 6 months conceived with icsi due to male fertility issues , will the effect of lifelong eltroxin affect my ability to go through icsi again if my husband and I decide to try and conceive again? Doctor: Hi,I read your query and I understand your concerns.Following is my reply:1) Eltroxin is needed when you have the problem.2) Infact not taking medicine will affect ICSI by altering thyroid levels.Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol"
},
{
"from": "gpt",
"value": "Target: Does taking Eltroxin for life time affect the treatment of ICSI?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...hi im a 21 year old women trying to conceive for almost 2 years my 21 day blood test came back perfect my doc says i have no problems, my husband is 23 and his seman analasis has came back that his motility is low count and morpholagy are fine what are our chances of becoming parents pls go easy on us were so deppressed and worried Doctor: Hi welcome to healthcaremagic.I have gone through your question.As you said that your husband has low motility, but you didn't mention % of active sperms.If atleast 30% sperms are active motile then no need to worry.Less than 30% motility is inversely related with chance of conceiving.For that i would suggest to do color Doppler ultrasound of scrotum to rule out any testes pathology like varicocele.Hope i answered your question.Would be happy to help you further.Take care."
},
{
"from": "gpt",
"value": "Target: Can i get pregnant with low motility sperms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My knee hurts alot, i ve been seeing an ortho surgeon in WA. But they thought it was my flexibility and weak quads that put pressure on the knee so i did phys therapy. Flexibilty increased i noticed the quads coming back but my knees hurt even more. Left knee cracks VERY badly when i bend down so i cant squat at all. Both knees hurt to the point where i can t run, jump, or bend then at like a 40 degree angle without pain. Please i neeed help Doctor: Hi, The treatment depends on age and condition of knees. Firstly, you need to get an X-ray done to look out for arthritis. If X-ray shows nothing, we need to get an MRI, only then the definitive line of management will be decided. Till then you can do physiotherapy and hot fomentation. Pain killers are not an option without having a proper diagnosis. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for knee pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: @ 2 yrs ago I had a stomach ulcer, no problems since. dr took me off all arthritis med. My severe pain arms, neck, back,legs & knees have made me sedentary. 15 to 20 lb weight gain..I can barely walk of lift my arms. I took one 800 Ibuprofen today & it helped with the imflammation....am I playint russian roulette?.....Thanks.... Doctor: i would suggest you add pantoprazole 40mg along with every dose of ibuprofen you are taking as you have a significant history of stomach ulcers. the dosage can be upto a maximum of 3200mg/day but that will increase the risk of renal side effects. The lower the dose the the lesser the side effects. i suggest try to take two400mg tablets, one morning and one evening. if pain doesnt subside then revert to 800mg tab once a day"
},
{
"from": "gpt",
"value": "Target: Suggest medication for body pain and weight gain post stomach ulcer treatment"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a cardio patient with a previous MI and by-pass surgery. Currently being treated for recent elevated BP. Over the last 24 months, I ve been experiencing leg pain, An angiogram shows a blockage in each leg. I m scheduled for leg stints next month. Will this reduce my elevated BP? Doctor: Hello , What you have is generalised atherosclerosis,Like the narrowing of the arteries of the heart due to plaque caused the attack , narrowing of the leg arteries caused the leg pain . Stenting the arteries would help relieve the leg pain particularly on walking. also in future it would help prevent gangrene which could happen because of decrease in blood supply to the leg . It's contribution to blood pressure is not direct and hence should not be the reason for putting the stents . Regards Dr. Mody"
},
{
"from": "gpt",
"value": "Target: What causes leg pain when suffering from high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir, My mother Sunita Jain is a patient of Aplastic anemia from june 2013. We are taking consultancy from June 2013. During last check up on dated 4-08-2014, she had 33000 platelets which come 23000.Blood reports on both dates are given below. Earlier she had taken Panimun Bioral but from last four months, she hasn t taken Panimun Bioral as per hematologist advised. Medicine which you are advised on last check up by hematologist are Tab. zyloric , Cap. Zevit and tab. Restyl .Recently She had light bleeding from mouth and had blue mark on neck. Sir, kindly advised for best. SL. NO. BLOOD CELL 04-08-2014 20-08-2014 1 RBC 11.2 10.8 2 WBC 5300 4900 3 Platelets 33000 23000 Doctor: Hi, dear. I have gone through your question. I can understand your concern. You are suffering from aplastic anemia. But right now you have very severe thrombocytopenia. Bleeding suggest you need platelet infusion. You should transfuse external platelet. Givre red cell concentrate and platelets concentrate as and when required. Permanent treatment is bone marrow transplantation. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for aplastic anemia"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother in law was diagnosed with tumour in bile duct one and half years ago. In view of her age ( 80 years), a stent was put. Recently she has started having itching problems as was experienced earlier. What could be the cause and suggest further action required Doctor: Itching is a symptom of cholestatic liver disease due to biliary duct obstruction from the tumor. Till now the stent helped the bile to drain in duodenum and not to rise up the bilirubin levels in blood. The most possible cause of itching in this conditions, may be the stent stenosis due to the progressive tumor growth.So the next step is to perform a ERCP (endoscopic retrograde cholangio-pancreato-graphy) to check the stent and eventually a cholangio MRI (Magnetic Resonance Imaging).Meanwhile, appropriate management of itching sensation is very important, because it can be very distressing for the patient. Cholestyramine is still recommended as a first-line therapy for management of pruritus. I recommend that patients take cholestyramine at night so they can sleep through most of the side effects.Second/third-line therapies include rifampicin, opiate antagonists (such as naloxone or naltrexone)."
},
{
"from": "gpt",
"value": "Target: How to treat itching of stent in bile duct?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey, I am 16 weeks pregnant and I was prescribed Duphaston since I found out that I was pregnant due to PCOS prior to pregnancy. The dose I am on is 2 tablets of 10mg a day. I just realized that I have forgotten to take my morning tablet. What shall I do? Shall I take two tablets or just forget about the missed dose? Will it have any negative effect on my pregnancy or baby? Thanks :) Doctor: Hi, Thanks for the query.I understand your query. Duphaston is given in early pregnancy..to protect it by supplementing progesterone hormone (present in duphaston) Usually it is continued till 4 months of pregnancy... for by this time natural progesterone start secreting. Progesterone like all other hormones .. must be tsken at prescribed time ( here twice a day .. that is 12 hourly) You had missed a dose... it should have been taken the moment you remembered about missing dose...You should not take double dose at a time... continue it as usual. Take care not to forget it again.continue till your treating doctor advises to discontinue.Have regular monthly check up. Thanks."
},
{
"from": "gpt",
"value": "Target: How to continue Duphaston after skipping a dosage during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello my 8 month old son hit the left side of his head on a sharp bathroom cabinet corner. the is no superficial wound but the area is now swollen a bit and turned purple under the skin immediately after, and is now white. would there be signs of internal bleeding or should i take him to the er? Doctor: it is due to external bleeding, hematoma formation, will resolve soon, give him some analgesic Syrup. keep a watch on signs suggestive of internal bleeding as vomiting, seizures, excessive cry, poor feeding, uprolling of eye balls."
},
{
"from": "gpt",
"value": "Target: Could the purplish swelling in head be due to internal bleeding?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Adult (32) white female; normal weight; normal BP (last time I was checked); semi-active (swim when I can get to the gym):How do you know when it's time to see a vascular surgeon over a concern that you may have an abdominal aortic aneurysm? My (paternal) grandmother had a cerebral (word choice?) aneurysm in her mid-forties and there is a history of heart disease on that side (my father, my father's father, etc). A (second?; maternal) cousin had an aortic aneurysm (not sure where). I have no pain, just a transient pulsating feeling in my upper abdomen (epigastric-to-umbilical region - moreso epigastric, though) from time to time (e.g., primarily during times of mild stress or after eating). I have recently had one or two episodes of numbness in my right leg lately but I'm not sure if that has more to do with the fact that I do a lot of sitting (at work, commute to and from work, etc). I've noticed an increase in 'heart flutters' - for example, sometimes when I wake up in the morning but before I get out of bed. Not sure if that's related. Could be related to caffeine. I've gotten them as far back as I can remember.When swimming, there are times where I feel like I have heart flutters as well. It makes me uncomfortable enough to take a break. Typically while doing breast stroke (as apposed to freestyle for some reason). I'm not even sure why I'm so concerned. I guess maybe it is because I had a recent episode of nausea brought on by the feeling that I might pass out. I am NOT pregnant. In fact, I thought it might somehow be related to constipation. Turns out I was not constipated either. It was a peculiar feeling and not the first time I've experienced it. Seemingly, it came out of 'nowhere' - as opposed to something I might have eaten. I don't know. I figured I'd give this a shot. Thanks for you time. Doctor: you seem to be concerned because ofaneurysm in your relatives.and that is working on your mind and apprehension may be giving you varied symptoms.Just be relaxed as aneurysms are not hereditical and its a chance that it came to some members of your family.If you cant overcome the fact then seek an appointment with cardio-vascular doctor to allay your fears, you may be screened radiologically if some suspicion is found."
},
{
"from": "gpt",
"value": "Target: Symptoms of abdominal aortic aneurysm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I feel this annoying feeling on the lower part of my stomach. Doctor: you have not mention d science how long you have got pain,if is very painful and recently appear, all chances that it may be of cardiac pain,for that you have consult cardiologist immediately. it may be gastric pain but we should not miss cardiac factor"
},
{
"from": "gpt",
"value": "Target: What medicine should I take for abdominal pain ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: a high eosinophil count......doesn t link with a chronic cough,according to all the cause and effect literature l ve read on a high count of these white blood cells.....my wife for a long time has a high count of Eosinophil and for many years has tried every process/procedure,medication to try and eradicate the debilitating cough she has been plagued with without success.......she had a stressed induced heart-attack after a severe bout of coughing .........there is little or no phlegm during these coughing spells.....anything spring to the fore ?......thanks for your time Doctor: I am sorry for the troubles that she is experiencing. I don't want to just recommend an allergist, but a high eosinophil count is usually indicative of some uncontrolled allergy which can often be something in the home environment. Fortunately today there are a number of treatments that can be directed towards the eosinophilia itself. If you haven't done so already, I would also recommend getting anti-allergen pillow and mattress covers as well as a high efficiency air filter for the bedroom and living room."
},
{
"from": "gpt",
"value": "Target: How can allergic cough be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor, i had tuberculosis in the lymphnode and was under treatment since Dec '09 untill Sep'10. Now i am pregnant - just missed my period this month. Is it okay for me to get pregnant so soon after the treatment. I am 33 yrs old. Please respond... Doctor: Hi, Thanks for the query. I understand your concern. Actually you should have waited till complete cure confirmed by treating doctor. A good nutrition &needful dietory supplements for having good health & resistance was desirable. Still never mind... as you have already conceived... you can do all the things even now....&take needful treatment as per your treating doctor&gynecologist's advise. Go for regular pregnancy check up &investigations advised . Take the treatment advised regularly. Avoid contact/exposure to any infection . Thanks."
},
{
"from": "gpt",
"value": "Target: Is it safe to conceive immediately after treatment for TB of lymph nodes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor , my widal test is positive . S.Typhi O is 1:320 S.Typhi H is 1:320 And my Typhidot test is negative . I had fever for more than 24 hours continuous and I took some tabs Panadol extra , Amoxiclav ( antibiotic ) . I don t have fever for the last 16 hours. No pain in body /bones No rash No vomit No diarrhea No constipation No headache Plz suggest me if the widal test is the clear and final decision that I have a typhoid or no ? Thank u Doctor: Hello,Thak you for trusting HCMA single Widal test cannot confirm Typhoid. Your titers are high. So repeat widal test needs to be done to assess the increase in the titer value. Increase titers in subsequent testing will confirm the diagnosis. Blood cultures can also confirm Typhoid.RegardsDr.Lekshmi"
},
{
"from": "gpt",
"value": "Target: What does this widal test result indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i underwent a reroot canal treatment month ago, it took three attempts to get rid of the infecttion. yesterday i went to give tge measurements for fixed crown. dentist did the procedure without numbing the area i did not feel any pain at all he planted an acrilic post and made a temporary crown and then took the size of my jaws and teeth several times with different type of jelly like materials.there was no pain no sencitivity any where, after nearly 2 hour procedure he fixed a temporary crown as soon as fixed tgat crown my teeth beacame very sensitive.when he put the post everything was fine. now he says there might be a hair line fracture But i never felt anything after re root treatment and during the yeasterdays procedure.as i was not given any injection i did not feel any pain at all.if there was a fracture i sould have felt something. I paid him£950.00 .please help Doctor: hello and welcome to hcm, feeling no pain is the result of successful root canal treatment and after fixing the temperory restorations, sometimes patient do feel sensitivity, and if there are some chances of hair line fracture, then ask the dentist to do tender on percussion test wher he will tap on the tooth and if there is fracture or some apical infection, it will be tender to it and take one x-ray of that. hope you are not having any gnawing pain after fixation as it occur due to imperfect fit of crowns."
},
{
"from": "gpt",
"value": "Target: Underwent reroot canal treatment. Hair line fracture. Possibility?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My girlfriend has a heart murmur and has heart pains everynow and then she tells her parents and they do nothing and if she goes to the hospital all they tell her is that she has a heart murmur and another problem that they cannot find out what should she do ? Doctor: Hello,Brief answer: Probably heart valve problem.Detailed answer: Heart murmurs may be a result of different causes, from minor to severe conditions. This problem may be caused by conditions like: anemia, fever, or even uncontrolled blood pressure. More severe conditions include, congenital heart problems (present since birth) or heart valve problems like stenosis (not enough blood flow through the valve or regurgitation: a valve that doesn’t close properly and leaks).Each of this condition causes a murmur. So, I would recommend her to do some lab test including a complete blood count, an erythrocyte sedimentation rate, and a lipidogram. Also, it is necessary to consult a cardiologist and to do an electrocardiogram and echocardiography to check if there is any presence of congenital heart problem or an abnormal heart valve that cause this murmurs. At the meantime, until she goes to see the cardiologist, I would recommend to stay calm, eat a healthy diet, to avoid stress and physical effort.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Genti Mulla"
},
{
"from": "gpt",
"value": "Target: What causes heart murmur pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had sex unprotected almost two days ago and I have a clear-like discharge that keeps coming out after a few hours . It s not really heavy and its odorless. Is it possible that semin could still be oozing out after that amount of time after ejaculation. It doesn t hurt when I owe or anything. Doctor: HI, thanks for using healthcare magicIt is unlikely that semen would still be present in significant quantities. After 2 days, any semen that would have been present should be gone.It is possible , since there are other symptoms associated with the discharge, that what you are seeing a the vaginal discharge that can normally be seen by some women.Yeast infections are normally associated with white/yellow discharge that are associated with itching. Bacterial vaginosis causes a discharge that has a fishy odour.Chlamydia and gonorrhea may or may not cause symptoms but the discharge that can occur would normally be yellow/green.I hope this helps"
},
{
"from": "gpt",
"value": "Target: What causes clear discharge after unprotected sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am taking a treatment of infertitlity my dr told me to take ovitrop hp 75 injection as my follicular study doesn't show a growth as required . this cycle I have to a iui treatment. I have already taken 5 injections and haveto take more 3 injections . please suggest Doctor: Hi,Welcome to healthcare magic.I read your query and understand your concerns.Following is my reply :1) It takes time for follicles to grow.2) If they dont grow you need to get evaluated for PCOS or premature ovarian failure.3) Please ask your doctor about above possibilities Let me know if you have any more queries. I will be happy to answer.Regards,Dr. Mahesh Koregol"
},
{
"from": "gpt",
"value": "Target: What is the reason for lack of growth in follicular study despite taking IUI treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hiim a 22 year old boyi did masturbation for about 3 years, Severe! maybe sometimes 4 times a day.i heard that it cause Psoriasis and maybe other skin sensations.my skin some times have white spots that sometimes they Disappeared and some times are about red.cat this be Because masturbation؟ Doctor: Hello Thanks for writing to HCMYou are wrongly informed.Masturbation doesn't lead to psoriasis.White and red spots over penis skin may be due to irritation resulting from excessive masturbation.You may need antibiotic and steroid ointment to be applied locally.You should avoid excessive masturbation and try to concentrate in your activities.You should avoid provocative literature and videos and try to keep busy yourself in your job.Hope i have answered your query.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What are the side effects of masturbation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 10 month old has a really thick jaw and seems to be having trouble cutting teeth. The teeth that have come through look red and irritated around the gum and tooth line.He also has three little canker looking sores on the tip of his tongue. Should I be worried? Doctor: Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns.....As per your complain it seems that your son is in the teething phase and inflammation and swelling of gums is not abnormal finding..During teething there is inflammation and swelling of the gums due to pressure and breaking of the gums for letting teeth to erupt in the mouth by cutting through the gums and the child can experience slight temperature rise also..Canker sores on tongue is also due to inflammation while can also be due to viral infection..So my suggestion is to give him Acetaminophen [Paracetamol or Tylenol] for pain and do cool compresses over the gums..You can use a very soft toothbrush to clean his teeth and also be gentle and careful, not to touch the gums...Give him a soft and semisolid diet..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora.."
},
{
"from": "gpt",
"value": "Target: What causes irritation in gums and sores on tongue of a 10 month old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a routine yearly check up and large blood cells were found during routine urine test (dipstick). The blood is not visible. When recheck after one week, moderate blood cells were found. All blood work is normal except Vitamin D is low (17). I have slight left flank pain from time to time (for a year or two) and no other symptoms. No pain upon urination, sexual intercourse, exercise, etc. No changes in appearance of urine, etc. Now what? I do NOT want to have a cystoscope! But would be willing to explore other options... Doctor: Hi if you have not yet had it, do an abdomino pelvic sonography to rule out kidney stone or any other cause in urinary tract--regards"
},
{
"from": "gpt",
"value": "Target: What causes flank pain with no other symptoms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 11 yr old son came up with a red rash on his chest, it is characterized by little bumps that are skin colored and the skin is bright red. It doubled in size since last night, but hasn t grown anymore. He also has joint pain and his tonsil on his left side is enlarged and red, but doesn t appear to be strep. No fever. Doctor: Hello, Consult a pediatrician and get evaluated. We have to rule out exanthematous fever like mumps measles. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for red rashes on the chest with joint pain in children"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Today I got a call from my uriologist's nurse following a prostate biopsy. She wants me to come in to the office. I asked her if the test showed any signs of cancer and she said yes. I have an appointment with him in 10 days. But right now I m worried and want to know what to expect and what Im up against. Can you give me some answers? Jay Doctor: Hi Jay. I can understand your anxiety and worry.Why was your prostatic biopsy performed. What was your PSA level. Now that your prostate cancer has been diagnosed, staging investigations are required to see if the disease is limited to prostate or if it has spread to other parts of body. A bone scan, MRI scan of pelvis and CT Scan abdomen & pelvis may be required. Further treatment plan will depend upon the stage of the disease.I hope your question has been answered. If you have any further queries I will be more than happy to answer. Thankyou for choosing Healthcare Magic."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for prostate cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doc..pls I hav a 2months old baby boy..the mum breastmilk is not sufficient for him..we have been feeding him wit lactogen..I would like to switch to nestle nan 1..cos someone one said the lactogen is too early for him...I need advise Doctor please Doctor: hello, thanks for your query, there are numbering given to the lactogen depending on the age . lactogen-1 can be given to your baby. hope I have answeed your query. all the best. take care."
},
{
"from": "gpt",
"value": "Target: Is it advisable to give lactogen to 2 month old baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! 3 days ago I injured my shin right below my knee. I ran into a metal bar sticking out of a car trailer. It instantly swole to the size of a baseball & very painful! The swelling has now gone down my leg quite a few inches and the bruise is huge. The area is very warm to touch and now every time I get up to walk after propping leg up, I have a severe burning sensation and its extremely painful to put any weight on it. Should I be worried about anything & should I go see my doc? Doctor: yes. you must consult your doctor immediately. the condition seems to be hematoma which has got infected. in that case you need rest, splintage, antibiotics, analgesics and sos surgery to get rid of swelling and infection"
},
{
"from": "gpt",
"value": "Target: How to treat a severe shin injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 77 yr old mother has had chemo and radiation treaments. 6weeks later she is so week, she cannot stand on her legs. she was very active prior to therapy. her meds consist of compazine and a steroid for back pain. she was diagnosed with osteroporosis and had her cracked 2 vertabrates.prior to the canceosr diagnose. does not complain about any pain.wat can we do to get her on her feet. are the meds partof the cause. should we ween her of these? please help we are using hospice so its difficult for pro info Doctor: Hello, Weakness is a common problem after chemotherapy due to decreased level of hemoglobin. The pain in legs can be related to osteoporosis also at her age. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for weakness and discomforts in the leg after chemo radiation treatment"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My question is...what medicine can i get here in ireland because i run out of my sylimarin capsules hepavit...they do not have hepavit here...i have congenital hepa b and my doctor advised me take it especially if i am drinking wine...i dont drink a lot but on social gathering only but i want to maintain my supplement...please help... Doctor: **1. patient with chronic hepatitis need specific treatment with Interferons. [consult with Hepatologist]2. Partner must be Immunised before marriage [medically suggestible pre-marriage tests] if unmarried3. silymarin is a hepatic protective agent made from extract of milk thistle seed which inhibits toxin uptake and stimulates cell regeneration,also protects against nerve damage and abnormal brain aging. If it is unavailable there try finding with 'Silybon' online, you can purchase/order directly from the site.4. . Adequate bed rest.. fat free diet,no oil,ghee and fried foods. plenty of sweets,sugar, sugarcane juice. boiled water for all at home. all hepatotoxic drugs should be stopped [consult your doctor for exhaustive list]5. According to Ayurveda the condition falls under 'Raktavaha Srotovikara', thus hepato protective drug like bhumyamalaki,Manjistha, katuki, bhringraja, Koshaphala, Kushtha is/are good for shaman [palliative] purpose.PS. These drugs helps prevent replication of HBV [hepatitis B virus] thereby preventing viraemia. [ [ Syrup Liv 52, Livomyn, and/or Cirrholiv: has all the said ingredients in it and thus acts as Hepato protective"
},
{
"from": "gpt",
"value": "Target: Suggest alternative for sylimarin capsules hepavit"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 7 year old had body odor under her arms. It's not everyday, I am thinking it may actually be from eating onions in my cooking. Is this possible, should she see her doctor? I have also read online about early puberty. She does not have any other symptoms of early puberty. Doctor: Hi,Thank you for asking question on health care magic.Only body odor does not indicate early puberty in absence of other secondary sex charecters as well as onset of menarche.Do not worry, Observe for pubic and axillary hair and breast development.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics"
},
{
"from": "gpt",
"value": "Target: Does body odor in 7 year old mean early puberty?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I get sharp, severe pain in the TMJ area, below my ears where my jaw meets my skull, not everytime I drink but most of the time when I'm halfway through a beer or glass of wine. I also get it if I eat sour candies. I've heard everything from tannins to lymphoma. Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, TMJ disorder is joint pain between Temporal bone and mandibular bone . For this pain you can do is take some precautions like Avoid excessive mouth opening. Take soft diet. Do hot formentation. Apply diclofenac sodium gel locally on painful area of ears and lower jaw region. You can consult dentist for Examination of TMJ joint .Hope this will help you."
},
{
"from": "gpt",
"value": "Target: What causes TMJ disorder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 63 years old mother has following problems: 1. Six months back she had seviere pain in her back and after XRay and other blood tests she was diagnosed with Osthoporosis for which treatment is going on. 2. She is also a patient of high blood pressure and taking medicines since 10 months. After taking medicines her BP ranges in between 100/160-180.3. Now since one month, she is lossing her weight, appetite and complains headache, dizziness and unexplainanble conditions. 4. After consulting the doctor, they referred her to cardiology where she underwent following tests: Xray Chest PA view, ECG and 2D Echo. ECG and 2D Echo is normal but XRay report of chest reveals mild sign of plural diffusion/TB. 10 years back she had also taken the treatment for TB. Now the doctors have advised for the following tests: ELISA FOR KOCHS CT THORAX. Please advise what may be the problem and how she can be treated? Doctor: Hello,Looking at your reports it looks that your mother may have tuberculosis of lung although it is still not confirmed, her blood tests will confirm this. If it comes positive then she has to take a complete anti-tubercular treatment. In old age this happens due to decrease in immunity. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for high bp with plural diffusion in osteoporosis patients"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I feel great, I feel strong . I have no problem with a good workout. But my heart feels like its quivering every day. It feels like it beats normal but quivers too. I especially feel it when lying in bed. Makes me think is it always quivering and I only notice it when I am not busy. What's going on with me? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Since your symptoms are only when you are not doing anything, possibility of stress related symptoms is more. But better to rule out heart diseases like arrhythmia (rhythm disturbances in heart) first. Because arrhythmia can cause similar quivering feeling in heart. So get done ecg, 2d echo and Holter monitoring (24 hour continuous monitoring of ecg). If all these are normal then no need to worry for heart diseases. Avoid stress and tension, be relax and calm. Divert your mind from this feeling. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes a feeling of quivering of heart everyday?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi im 16, male and i have a problem with my penis, first of all its very painful to pull back my foreskin and when it is erect and i manage to pull it back gradually it hurts and the tip of my penis goes purple/red. Secondly my bell end seems to be very dry and is only lubricated when i ejaculate, im not sure whether this is normal or not. Please help?? please note if you need any further details or images i would be willing to provide them Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.You should examine yourself for tight foreskin.In some times it may be possible that it is much narrow anf causes a problem in vascular tissues of the penis.In some extreme case surgical correction of foreskin is necessary. This operation is circumscion.This will relieve you from the purple turning shaft problem.Some times extreme purple may lead to necrosis so urgent care is required otherwise surgical removal of penis is necessary in such cases.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for tight foreskin causing tip of penis to turn purple red when pulled"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having pains in the left side of my chest for the last few days that come and go and my left arm is numb in the mornings but gets better as the day goes on. My BP and heart rate are normal. My pains seem to subside if I drink water or eat something. Just wondering if I should have this checked out?? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Since your symptoms are improving after drinking water and eating food, possibility of GERD (gastroesophageal reflux disease) related pain is more. But better to rule out heart diseases despite of normal blood pressure and heart rate because left sided chest pain is commonly seen in heart diseases. So get done ecg. If ecg is normal then no need to worry for heart diseases. GERD and gastritis are likely causes in your case. So avoid hot and spicy food. Avoid stress and tension. Drink plenty of fluids orally. Take proton pump inhibitor like pantoprazole on empty stomach. Don't worry, you will be alright with all these. Better to first rule out heart diseases by ecg. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes left sided chest pains and numbness in arms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am an 18 year old male and I have a problem serious to me. I have these tiny white dots around the head of my penis that look like acne, but are not. They are very unattractive and I was wondering what I can do to get rid of them. I've had them for a few years now and they don't seem to be disappearing or getting worse. Doctor: Hello, Tiny white dot around penis may be normal. Don't worry about it. if size of dot increase, or change in color or any inflammatory change like, burning or pain than consult skin specialist. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Adish V. Doshi, Psychiatrist"
},
{
"from": "gpt",
"value": "Target: What causes white spots around the head of penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a oblong lump on the side of my butt cheek that has just become painful and larger in the last couple of days. I first noticed it about six months ago when is was small about the size of a pea. There was no paint, just itching then it basically wasn't of major concern and I figured it was a ingrown hair. Two days ago I had a larger bowl movement that cause some discomfort. Now that lump is oblong about 1/2 to an inch and painful. What could this be? No redness, maybe a little purple. No head and a little bit of blood from my bowl movement this morning on the tissue paper. No other blood from the other bowl movements today. Just a hard oblong painful lump on the left side of my butt cheek near the anal canal. Doctor: Hi, I had gone through your question and understand your concerns.At this area it may indicate several issues and most common are pilonidal cyst or perianal abscesses. These are inflammatory processes in sacral and perianal area usually manifested with pain, redness, swelling, fever and pus discharge. Cellulitis is less common and may be present in sacral area as well. This is mostly caused by beta hemolytic streptoccocus and it necessitates antibiotic treatment with augmentin, or combination of ciprinol+ metronidazole. You should also, apply cold compresses, take nonsteroid painkillers such as ibuprofen 400mg and rest. If there is no improvement within 2 days, you should see doctor and have intravenous antibiotics.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: What does a painful lump on the buttocks indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 56 years old 2 grown kids tubes tied about 25 yrs ago everything ok went to the gyno in april they called me back and adivsed i had a uti called in meds i took and soon after completeing meds i feel like there is something foriegn in my abdominen between my belly button and the top of my pubic bone before taking the meds for the uti i did notice i was going to the bathroom differently ie often not able to start going have to wiggle aroung or just getting there in time (uti right) didnt think about it until they called thought i was just getting older however after taking med asuming uti should be gone my going problem has not changed and i still feel like there is something in there any suggestions? Doctor: Hi and thank you so much for this query.I am so sorry to hear about your symptoms of frequent bathroom visits.It is true that a UTI can present with exactly with the same symptoms and is the most likely cause of such symptoms in most people. However, anything that causes the bladder to have a reduced filling volume like a mass in the pelvic region compressing the bladder, would produce the exact same symptoms. The fact that you have not felt any better after receiving this treatment of a possible UTI and the feeling of a foreign body warrants a doctor's visit.I would like you to meet with an OBGN and get examined. Also, your doctor should consider doing an abdominal ultrasound to look for possible growths that may explain your symptoms and require a different treatment option.I hope this helps. Feel free to ask for more answers if need be. I wish you well.Dr. Ditah, MD"
},
{
"from": "gpt",
"value": "Target: Abdominal discomfort. Taken medicine for UTI. Any suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband had open heart surgery on the 04th of October. He reported today that he had experienced double vision yesterday(only for seconds) and today indicated that he had what appeared to be a hot flash in the face only that again only lasted seconds. Both of these occurences happened approximately 1-1/2 hrs. after taking his morning medications. Any cause for concern? Doctor: Hello, I passed carefully through your question and would explain that his symptoms could be related to low blood flow to the brain. For this reason, I recommend performing a Doppler ultrasound of the carotid arteries to examine the blood flow in them and a brain CT scan or MRI study. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes double vision and hot flashes on the face after the heart surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 53 year old female. For the last couple of months I have been getting hard lumps under the skin under both of my armpits. When I squeeze them they are very painful but nothing comes out except blood . One will go away but shortly after I find another. At the present time, I have 2 under my left arm and 1 under my right arm. Could this be cancer? Doctor: hi abhart, no this is not a cancer, these are simple boils due to pulling of hairs. you can use ibupfren plus paracetamol or diclofenac plus paracetamol combination for pain . Also do not try to squeeze them. If pus present use antibiotics for it."
},
{
"from": "gpt",
"value": "Target: Hard lumps under skin in armpits, bleeding, recurring condition. Cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My sister aged 29 years is having hypothyroidism since last 16 years, under treatment with thyroid supplement tablets 100 microgm is having primary infertility. She is having irregular periods also. She got married 6 years back. She underwent diagnostic laparoscopy and diagnosed to have PCO and it was punctured. Now she has been trying for intra uterine insemination , did once and it was unsuccessful. Because of unmatured ovum , now she has been prescribed Tb. OOsure 1gm, Tb. Fertyl and Tb. Fertisure. Is this treatment is apt for her? Or have to go for any further treatments? Doctor: Hello. Thanks for writing to us. Your sister has been put on an ovulation induction treatment. This will help in formation of eggs in her ovaries. She needs to continue this treatment in addition to the thyroid hormone supplementation. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Having hypothyroidism, PCOS and infertility. History of unsuccessful intrauterine insemination. On Oosure, fertyl, fertisure. Right treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been taking champix for over a month now and have come up with a rash on my cheeks.It can be itchy and sore sometime and looks like little pimples .I rarely,if ever,get pimples on my cheeks.The skin on my cheeks, forehead ,hands and forearms has been very dry and no matter how much i moisturise,it doesn t seem to help.Would this be just a side effect or maybe an allergic reaction? Doctor: Hi , Thanks for writing in. You seem to have developed xerotic dermatitis. A good moisturizer with shea butter and and liquid paraffin will help you . A single daily application of betamethasone like steroid will also help. It can occur as a side effect of champix. A visit to dermatologist will help to confirm diagnosis and allow prescription medications. Take care. DrSudarshan MD Dermatology"
},
{
"from": "gpt",
"value": "Target: Taking champix for over a month, itchy rashes on cheeks, dry skin. Is it an allergic reaction ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: MALE, HISTORY OF PENILE CANCER 6 MONTHS AGO WITH AMPUTATION OF PENIS NOW HAS SWOLLEN LYMPH NODES IN THE GROIN AREA AND WONDERING WHAT THE CHANCES ARE OF CANCER AGAIN? DOCTOR HAS PLACED HIM ON ANTIBIOTICS FOR 30 DAY AND THEN DO ANOTHER CT SCAN. WE HAVE BEEN TOLD METS IS A POSSIBILITY. HOW LONG WOULD YOU WAIT BEFORE DOING A TEST/BIOPSY TO FIND OUT FOR SURE? Doctor: after surgery for penile cancer, if the regional nodes are swollen chances of recurrence is high. But trial of antibiotics can be given since subclinical infections in genital region are common. you can take a trial of antibiotics for one week and get pathological examination of nodes if no response occurs"
},
{
"from": "gpt",
"value": "Target: Chances of cancer having swollen lymph nodes in the groin area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Please interpret these results Details Past results Graph of past results Component Results Component Standard Range Your Value Collection time, semen 0755 Semen volume =2.0 mL 1.5 SEMEN, TIME READ 0855 Liquefaction, semen YES SPERM AGGLUTINATION 1+ Spermatozoa, rapid % =25 % 50 Spermatozoa, slow % 5 Spermatozoa, immotile % 0 - 50 % 40 Spermatozoa, nonprogressive % 0 - 50 % 5 SPERM MOTILITY INTERPRETATION, SEMEN SEE NOTE Appearance, semen NORMAL NORMAL SPERM COUNT, SEMEN OR = 15 M/ML 82.7 WBC COUNT, SEMEN NoneSeen HPF FEW RBC Count, Semen, LIGHT MICROSCOPY NoneSeen HPF NoneSeen Spermatozoa, morphology OR = 3 %Norml 3 General Information Collected: 10/30/2014 7:55 AM Resulted: 10/31/2014 10:55 AM Ordered By: ANJALI SHARMA NP This test result has been released by an automatic process. Doctor: higreetings It is very difficult to read the report.can you provide in some other format.Regards"
},
{
"from": "gpt",
"value": "Target: What does this semen analysis indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am approaching 42 and female. Sine before Christmas, I have been suffering with pressure in the middle of my chest that never seems to go away. sometime the pain radiates to the middle of my back. I have had blood tests, chest x-rays and an ecg - everything was normal - blood pressure fine and oxygen level at 100%. I was told it was possible muscle strain and to take co codemal 500mg. I still have the pressure all be it has improved but is still there but I now have a tingling in my right calf muscle. Is this related?? Should I be overly worried. I never did get a def diagnosis as to my chest pains - no other symptoms. I did have the flu jab just before all this happened and a cold but the Drs have told me there is no link - please advise. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Tingling in right calf and Chest pressure are not related to each other. And no need to worry for major heart and lung related diseases because your all reports are normal. In my opinion, you are mostly having GERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and Chest pressure. So avoid stress and tension. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Start proton pump inhibitors and prokinetic drugs. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What is the treatment for chest pain and tingling in calf and are they related?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HiI had severe cramping just above and below my navel and slightly to the left 2 nights ago. I had diarrhoea initially but now just nauseas as i have not been to the toilet since. Although the cramping is not as bad the same area is so sensitive to touch, it seems to be affected when i do anything physical and / or eat. Doctor: hi there, your symptoms are suggestive of entritis or inflammation of the bowel, which could have been caused due to infection caused as a result of eating or drinking contaminated food items.Get your stool examined for bacteria or ova & cyst for amoebiasis. Accordingly treatment canbe given. For symptomatic relief you can take anti-spasmodics and some probiotic tablets. Drink plenty of fluids and avoid taking prepacked or ready to eat. Try and eat freshly prepared meals as far as possible. Take care."
},
{
"from": "gpt",
"value": "Target: Severe cramping near navel. Had diarrhea and nausea. Reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had blood drawn two days ago and the gal hit something that sent sharp pain on the top side of my arm diagonally toward my pinky finger. I immediately asked her to take it out, which she did. She said that she had hit a tendon. The pain still comes with different types of movement. It feels almost like an electrical shock. What can I do? And will it go away on it s own? Doctor: hiapply hot packs and apply voveran gel or anti-inflammatory gel with gentle rubbing till it dries on skin. Use broad arm sling for a week and take advil tabs after meals for 3-5 days.It should subside, if doesn't show to an orthopedic doctor.Give arm rest as much possiblethanks"
},
{
"from": "gpt",
"value": "Target: What causes electrical shock feeling in arm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hey dr am 24 yrs old n married n my husband is also of same age we r trying for baby fr last 7 months but didnt conceive nw am taking pregnacare but my husband doesnt..i have been showing to several dr n am v tensed dey say i have a cyst n might tube is close..wat do u advise me..eager to know.. Doctor: Hi welcome to healthcaremagic.I have gone through your question.I would advise to do ovulation profile, thyroid profile and histosalpingography HSG to rule out any pathology and for your husband semen analysis.After these reports one can comment one what is the problem and consult gynecologist for further treatment.Hope i answered your question.Would be happy to help you further.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for infertility"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I had a bad fall a week ago and cracked my head pretty hard. I now have a fluid filled lump on my head which I thought was just swelling from the fall but it s not going down and feels spongy to touch. I have no concussion symptoms, left A&E due to such a long line . Embarrassed to say this was late las Saturday and yes I had been drinking alcohol . Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Dear it may be hematoma of scalp due to injury initially it is fluid in consistency then became hard then it may undergo lysis gives rise to complete recovery. Use cold and warm compression, use tablet Chymoral forte twice a day for five days. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes a fluid-filled lump on the scalp after a head injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Day before yesterday I had severe back pain in my lower back and I couldn t bend forward, I got myself checked by doctor next and had X-ray done, there was no bone injury as such but the report says loss of lumbar lordosis. I wanted to know that is it something serious as I am getting married in next 20 days so I am lil worried?? Are there any complications or implications?? Can I get back to my normal routine?? Is it safe to exercise?? Please advise. Doctor: HelloThanks for writing to HCMLoss of lumbar lordosis may be due to spasm of paravertebral muscles.It also occurs in many other conditions.At present you should take complete rest.Hot fomentation is also helpful in this condition.You can take analgesics with muscle relaxants for 5 days.You can also take tablet pantoprazole 40 mg once daily for 10 days as these medicines causes acidity.Avoid abrupt forward bending and avoid lifting heavy objects.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Severe back pain in lower back, X ray results loss of lumbar lordosis. Serious?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor,I am having watery and transparent semen while I masturbate, but in large volume. Is there any risk of infertility which this kind of sperm? And I used to masturbate once/twice a week. Is it safe to masturbate with this frequency? Please answer me. I am going to marry within a few months.Thanks in advance Doctor: Hi, Sperms are produced in body contiously and hence it should be continously released .It is generally released through sexual intercourse and self maneuver through masturbation n if both are not done then it is released through night fall. So don't worry about your masturbation habits its completely normal . You can't do sperm analysis through your naked eye by seeing watery and transparent semen . Let it come like that if you still have doubt then go for sperm analysis . Hope this ll help . Thanks n regards"
},
{
"from": "gpt",
"value": "Target: Is large amount of watery and transparent semen related to infertility?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 3 year old is perfectly healthy. She very rarely gets a cold. However, she always breathes through her mouth rather than her nose. Sometimes she says she can t breathe when she closes her mouth, but most of the time, I believe she just finds it easier to breathe through her mouth. Is this normal? Should we worry? Doctor: Hi. Your 3 year old daughter is healthy.. And rarely gets cold..so it means your daughter's having good anatomy. And she is just having habit of MOUTH BREATHING. This is the age when children are more prone to get oral habits like nail bitting,thumb sucking,mouth breathing, etc..so no need to worry for her about mouth breathing..if you observe that your daughter didn't find any difficulties from nose breathing..than you should visit your dentist for HABIT BREAKER.. The appliance used for breaking the mouth breathing is known as ORAL SCREEN.this will help your daughter to break the habit of MOUTH BREATHING very easily and no need to worry."
},
{
"from": "gpt",
"value": "Target: What causes three year old to breath through mouth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 2 months ago I was in the hospital for 5 days because of large blood clots and heavy bleeding rectally. the dr. said I had some tears in my bowel that were fused. I was okay after that for a couple months. Now I have a thin to thick pink mucous coming from the rectum again. in 2005 my mother and sister both died of colon and bowel cancer. I am a 70 yr. old female.. ?? I just do not have much faith in my doctors anymore. Doctor: HIThank for asking to HCMI really appreciate your concern and looking to the history given here I could say that this could be Amoebiasis and if I would be treating physician of this case then I would treat this case with the Tab Metronidazole 400 mg twice in day for 10 days, hope this information helps you, take care and have a nice day."
},
{
"from": "gpt",
"value": "Target: What causes thick mucous coming out from rectum suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a 6 year old boy who had Tinea Pedis and now I found out that spread to his hand as well. What should we do? We also have a 10 weeks old baby, how to prevent other family members from being infected? I used dettol anti-bacteria solution for household grade to clean the floor and can this help to kill the ringworm bacteria on the floor? Thanks. Doctor: HI, thanks for using healthcare magicIt is spread by contact so you would need to clean surfaces with a disinfectant and wash hands after applying the topical antifungal to his hands and feet.It can take up to 2 weeks, in some cases, for the fungal infection to resolve but once the treatment is applied consistently, improvement will occur.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a spreading tinea pedis infection in legs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi 31 year male recently about a month back he suffered some minor virus fever that time he suffered with heavy body pain from top to bottom,he could nt able to stand also,after taking two day medicine pain reduced and he walked normally but after some days he found my hands and legs especially ankles are swelled and specifically my hands paining lot. Kindly help me to get rid out of this Doctor: hellocertain viral fevers cause joint pains as long as upto 3 months, and doctors do not necessarily label it as arthritis but call it arthralgia. It is nothing serious although pain medication and physical therapy is required alongside hot fomentation. complete blood count, ESR, c reactive protein crp is done.Tylenol or Advil may be required. so consult a physicianBest wishes"
},
{
"from": "gpt",
"value": "Target: What causes pain and swelling of ankles and hands after virus fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. Im 26 years and from Norway. I exersice and eat healthy, have good friends and a good job. I am 188cm and weight 88 kilo. I have had low energy and sex drive, and sometimes depressed for over a year, maybe more. I said to my doctor that after a month with testogel, I wasnt impressed. My latest results are: Testosterone 15.8 nmo/L SHBG 19 nmo/L LH: 1,9 IU/L FSH 0,8 IU/L Androstendion 2,2 nmo/L As you can see my LH and FSH are really low. I think also my androstendion is low. The value range on the internet, I believe is a statistic of what a human from 18 to 85 years have been measured. Its not what is healty. This also applies the testosterone. I believe I should have about 35 nmo/L witch I think is about 800 ng/dl. The doctor gave me testogel that should last for a year now, but I think I need shots and a good follow-up on this one. It is easy to say that I am healty, and let me fuck off and apply the gel on me for the rest on my life, and think that the placebo effect will help on me. What do you think about this situation? Could I have the secondary hypogonadism? Doctor: no you are not having seconadaru gonadism. so dont worry about ur illness..your LH and FSH are low because of feed back inhibition..that means iatrogenic as you using testogel. so stop it applying you will get cured by yourself. so dont worry live a healthy life. discontinue the testogel. and for low mood you can use ssri and snri drugs for mood elevation and other sexual problems."
},
{
"from": "gpt",
"value": "Target: How to confirm the condition of secondary hypogonadism?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had blood in my urine about a month ago that went away. Every now and then I see what looks like a blood clot and/or tissue when I urinate. I am also having pain in my penis toward the tip that is worse when I sit for a long time and then walk or if I am lifting something. Doctor: HelloBlood in urine (hematuria) may be due to UTI,genito-urinary calculus,tumour etc.It may be due to genitourinary calculus in your case as you have associated pain.You may need clinical evaluation and few investigations.Investigations include routine hemogram,random blood sugar,renal function test,urine RE/ME and ultrasound of KUB.Ultrasound of KUB region is very important and it can exclude many causes.CT scan of abdomen can be done after evaluation.Proper treatment depend upon findings.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in the penis and blood in urine"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am a 21 yr old male. I have a semi soft lump about an inch or so in size. It is located on my lower back right above the point of my hip. My father has had a lipoma remvoed that was on his waist line. My lower back has also been subject to trauma from being a college wrestler. Any idea about what it is? Doctor: Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. A semi soft lump, which moves easily is possibly a lipoma.2. Get an Fine needle aspiration cytology of the lump done for confirmation.3. If its lipoma, its a slow growing lesion and you can get it operated anytime. It will rule out other causes and give you peace of mind.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: What causes semi soft lump on hip?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been taking Anxit 0.25mg/ per day for almost 9 years old. Sometimes when I get stressed out too much, I have taken 0.5mg also. I have in the last three days given up Anxit and started on Zolfresh 5mg/day. I am finding slightly uncomfortable in my chest and I have become easily irritable. I want to give up zolfresh also and sleep naturally. I am a 48 year old male and have experienced lot of mental stress in the last 10 years. My elder son is mute and autistic and my younger son has recovered from leukamia.. My earning is critical to the family and I need to stay healthy. I am losing a bit of competitive edge in the place of work also. I do not smoke and I am a pure vegetarian. I excercise for about 15 minutes per day and I take only raw vegetables and fruits in the night. I have a veg breakfast in the morning followed by working lunch and some light snacks in the evening. I take two cups of tea everyday. please guide me to sleep without a tablet Doctor: As you have been taking anxit for many tears, you have developed dependence on these drugs. As you have have a lot of stress and having decreased sleep for many years you must get yourself evaluated for depression/dysthymia. So get in touch with a psychiatrist who may help you for both oyour problems."
},
{
"from": "gpt",
"value": "Target: Taking Zolfresh instead of Anxit. Feeling uncomfortable in the chest, easily irritable. How can I get rid of the medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 83 yr old sister had an endoscopy today and they found something on her esophagus, either a lesion or a growth. The dr. later told the family to expect the worst. He said they may do a second biopsy, why do they need to do this? How long can we expect her to live and will she be in pain in the end? Will we have to put her in a nursing home? She was vomiting blood last nite. Doctor: hi, what ever u have written indicates towards a cancerous growth in esophagus, but final diagnosis is given by biopsy. the extent of disease/ stage of disease is to be analysed with the help of a good quality CT scan or other imaging. after stage of disease, to some extent we can predict the average survival. sometimes if first biopsy is inconclusive, we may do second biopsy. her admission into a nursing home is not necessary just because of the fear of malignancy. follow the advise of ur doctor and give ur sister care and love as much as u can."
},
{
"from": "gpt",
"value": "Target: What could be the growth on the esophagus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 14 years old and ever scince i was a baby i have constatnly moved my head side to side. i dont do it when im sleeping but thats the only time i dont. i do this all the ttime and i dont even relaize. its very embarresing and i would to anything to stop please help i am 5 10 and 130 lbs Doctor: Hello Thank you for trusting HCM Is it continuously have you feeling head movement ??? Have you consulted any neurologist?? Anybody suffering from same problem in your family?? Have you taken any CT or MRI scan??? Have your suffering from any memory problems?? Possibility of tics, touretts syndrome,Bobble head doll syndrome, chorea, congenital tremor, Wilson's disease etc.. Please consult your neurologist he will investigate and treat accordingly."
},
{
"from": "gpt",
"value": "Target: What causes consistent sidewise movement of the head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir in 25 june dr. did me ovariat cyst operation by laproscopy and open surgery because cyst was chocolate cyst but still my stitches not healing up and 1 nodule is also in my stomach but now its ok but pus formation not stop now and Dr. told me i am suffering from TB but without test how can i take TB's MEDICINE PLZ sir n mam plz help me what can i do please Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.No, its not look like TB. You should confirm this with the microscopic examination with ZN staining.Once the report is positive you are confirmed of TB. But I suspect it is not the TB, it is the general infections caused by bacteria.You can take the drugs of TB once your report is finalised.Please maintain good care of the wound by frequent dressing and cleaning.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM."
},
{
"from": "gpt",
"value": "Target: Is non stop pus formation after surgery sign of TB?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am writing for my parents as of right now Mom is on cardiaxt120 mg and parents pay $6.oo the heart doctor is saying she is getting to much the 120 is to much and they want to cut her down to 90 mg but they don t make 90 mg, the doctor ordered 90 mg of diltiazem hci extend 24-hr release and that will cost my parents $97.00 a month, Dad wants to open the capsule and take the grandliers to make 3/4 and put them back together, what would you do Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I can understand your concerns regarding the cost of medicine but I would highly recommend you not to do what your dad is planning. I suggest you to visit your heart doctor again and discuss the issues that you are undergoing. He will be the right person and will be able to help you for sure. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Can Cartia XT capsule be crushed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 43 y/o female, diagnosed with ESRD. On December 2013, I had renal ultrasound in the Philippines which suggested that I have normal right side kidney and slightly enlarged left kidney with parenchymal cyst on both kidneys. I am in the US now and did renal ultrasound this month and my neprhrologist said I have kidney atrophy. I already started dialysis on March 2014 in the Philippines with initial creatinine level of 6.9 and potassium level elevated at 7.8. I am not diabetic and not hypertensive. I weight 122 lbs, 5ft 1inch tall. No swelling. Still making urine. I am continuing dialysis here and all my lab works are normal except for my phosphorous and PTH which are both elevated. My brief history. I use to be hypokalemic ( I reached as low as potassium level 1.2!),I was hypertensive and was on hypertensive medication since I was 21 y/o. I used to be obese (175 lbs) during those times and had bad diet. Today, I am no longer on hypertensive medication. Only on Phosphate binder Sevelamer, and Sensipar and dialebyte vitamin. I am compliant to renal diet now. Doctor: Hello and welcome to HCM.As an Urologist, i can fully understand your concern.It's essential for you to be on hemodialysis, due to ESRD.The recent U/S scan showed kidney atrophy, which suggests, reduced kidney size. The reports mentioned by you are seen in ESRD.You've been on treatment for bilateral renal polycystic disease(APCKD), with hypertension, since past 22 years. This has lead to ESRD. Maintai the renal diet as advised, and check creatinine and electrolytes, regularly.You may have been told about kidney transplant as an option to dialysis. You can send me a direct question, if you have any doubt.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: How to cure enlarged left kidney with parenchymal cyst?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have pain in my left wrist but can t pin point exactly where it s coming from, it hurts more on bending hand forward rather than flexing it back an I can feel pain I think on the inside of my right lower side of wrist and on the right top of the hand but also keep getting shooting pains in my little finger (which is the other side to the pain obviously!) Any ideas whether this is just a tendinitis thing that will sort itself or whether I need to go get it checked please?? Doctor: Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, since there are many causes of wrist pain, so please see a hand surgeon, as no empirical treatment can be beneficial here , you could have keinbocks disease, or ligament rupture, or CTS, but that can only be judged by tests.I hope that answers your query. If you want any more clarification, contact me back."
},
{
"from": "gpt",
"value": "Target: What causes wrist pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son has hyperphenylaninemia, he is now 28 years old. He is no longer treated with phenylfree formula, as his doctors stated no treatment is necessary. His eyelashes are starting to turn white. I was wondering if this has any correlation with the untreated pku. His highest level was 22 when the first level was obtained after his first challenge. His levels were between 3 to 6, with some as high as 12. Should he get a second opinion about treatment also? Doctor: Hi, dear. I have gone through your question. I can understand your concern. I think you need second opinion for your disease. pku should not left untreated. At least dit management should be done. And if level is rising then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Should I get a second opinion for hyperphenylalaninemia treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my mum has small vessel ischaemic change associated cerebral volume loss and there is a focus of hypodensity extedning to the posterior frontal lobe cortex on the right suggestive of a very monor small infartc. and absent left P1 segment fetal supply of the left PCA from the left PCA but xray shows no mass or haemorrhage or collection or and no raised intracranial pressure written on xray. Can you please explain all this as my elderly mum is nearly 89 yo and the gp will see her tomorrow because she was having blackouts. Thank you Doctor: I think the x-ray mentioned by you is actually CT scan or MRI of brain and it suggest old ischemic changs of brain. She might be having fresh episode of infatct in the brain which is showing us as blackouts at present You must show her to GP soon and give 150 mg of tablet Asprin immediatly"
},
{
"from": "gpt",
"value": "Target: 89 yr old, having blackouts. Xray shows small vessel ischemic change associated cerebral volume loss. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor i am 22 year old boy and i had to take nexito 10 mg for 6 months,i am 75 kg in weight and 5 feet 9 inches tall.i was sufferring from depression so i had to take it, but do i need to continue medicine ,if so how many more months i need to take it,because i dont like any more medicines in my life.kindly tell me.is there any side effects of this medicines if i stop it abruptly? Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Abruptly stopping nexito will lead to withdrawal symptoms. It should be stopped gradually. Regarding the duartion of treatment it depends on the past history and severity of the episode. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy "
},
{
"from": "gpt",
"value": "Target: Is there any side effects for nexito medicine if i stop it abruptly?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son had allergy testing yesterday and I was given a paper that listed the things he is allergic to. Several of the items are obvious, as they are listed by their common name, but several of them I don't recognize. I don't know how to avoid these allergens if I don't know how they are commonly encountered. What can you tell me about Fusarium, Cladisporium herb., and Monilla. I think theses are molds, but need to know what we should be avoiding specifically. Thanks!! Doctor: Hello.Thank you for asking at HCM.Yes, you are right - fusarium, cladosporium herbatum and monilla - all are fungi (molds).I would suggest following measures to reduce exposure to molds:1. Molds mostly grow over damp/moist areas. Hence, if there are any such areas in/around your home, there are high chances that they may be source of molds. Removal/professional treatment of such areas would reduce production of molds.2. Using dehumidifier/air conditioning to reduce humidity inside rooms is also an important measure as molds grow in humid environment.3. Ensuring adequate ventilation and sunlight exposure in rooms is also another measure as it may \"wash away\" mold spores from the room and sunlight will provide dry heat.Above measures are usually suggested to reduce mold exposure. Hope above information will be helpful to you.Wish your son the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: What are the reasons for allergy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: we are planning pregnancy why is that he gets a white stuff on his penis after our intercourse can i expect pregnancy ? Doctor: Hi, Thanks for query, As your husband gets white deposits may be due to you might have some infection,bacterial or fungal. go for vaginal swab examination. after report go for the treatment. If all reports of yours and your husband are normal you will get pregnancy. ok and bye."
},
{
"from": "gpt",
"value": "Target: Do white deposits on the penis after intercourse affect in conceiving ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 27 yrs old . I am trying to conceive for last 2 years . I consulted doctors they have given enough of tablets but still I cant. Now at present i have consulted one doctor she told me take metatime 500 mg tablet , and folic acid. Will i able to concieive with these... Doctor: Hi I think you should get yourself evaluated. Do a thyroid profile and prolactin levels and a ultrasound for follicles. Only metatime and folic acid will not help. You need to take some medicines for growth of your eggs and also some medicines to support your pregnancy. Do a semen analysis of your partner."
},
{
"from": "gpt",
"value": "Target: Is pregnancy possible while on Metatime 500mg tablet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 55 and have been under great stress of caregiving for 3 years. My own health is deterioating. BP goes from 89/50 to 145/125. I feel awful when my bp is out of whack Last night I had the 145/125 spike after an arguement..My chest was very heavy, Pain in my L shoulder area and today woke with a dull fog and lingering headachel The heaviness in my chest waxes and wanes. At what point does it get called an emergency Doctor: Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that the heaviness in your chest may be related to high blood pressure. But, I would recommend consulting with your attending physician for a physical exam and some tests to exclude other possible causes of chest pain and uncontrolled blood pressure: - a chest X ray study- a resting ECG- complete blood count for anemia- kidney and liver function tests- thyroid hormone levels for possible dysfunction- blood electrolytes for possible imbalance- fasting glucose- blood lipid profile for dyslipidemia. A cardiac stress test is needed to exclude possible coronary artery disease. Meanwhile, I would recommend some tips to help maintain a normal blood pressure: - avoid salt and caffeine intake- perform a lot of physical activity (aerobics, walking). - try to lose some pounds if you are overweight. Stress seems to play an important role in your symptoms. Yoga and meditation may help in this regard. Hope to have been helpful!Kind regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Is it dangerous to have a high bp and pain chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: On my middle right toe, the middle pad of my toe is completely swollen. If you flex my to forward, it seems as if a large ball all around it pops out, there is a bluish line within it. It is not painful. I ve tried to push a sterilized needle in to see if it was filled with fluid, but it didn t work. Doctor: Hi! Good morning. I am Dr Shareef answering your query. Even though it needs a clinical assessment to know what it is, if I were your doctor, I after a clinical assessment would advise you for a routine blood test like complete blood count, ESR, blood suar and a serum uric acid test and treat it if positive. In case of no positivity, I would advise you for a FNAC (fne needle aspiration cytology) for a cytological diagnosis of the lump. Further management would depend on the report of investigations.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: How to treat a swollen lump on a toe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother is 56 years old, she has a problem during late evening when she goes to bed,,she feels pain in fingers nd uneasyness in feet nd lower area of legs,,,,they keeps on moving and restless is there,,,,,,,she is also suffering from menopause last from 30 years,,,,,pls advice as she is active whole day keeps on working household works nd gardening but during sleep time she feels so uneasy in feet nd legs, thankyou doctor Doctor: Hello,It sounds like she has Restless leg syndrome. She needs to be evaluated by a doctor. A warm bath before bed may help. Also she should avoid antihistamines. Here is a link where you can read more about it. There are several medications her doctor can try that may be helpful.https://www.uptodate.com/contents/restless-legs-syndrome-willis-ekbom-disease-the-basics?source=search_result&search=restless%20leg&selectedTitle=1~135Regards"
},
{
"from": "gpt",
"value": "Target: What causes pain in fingers and legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been coughing pretty badly for 2 weeks-coughing up yellow mucus. Ive tried many natural remedies and cough medications but they never seemed to work effectively.ive lost sleep n the past 2 weeks n I'm tired of coughing. should go to the doctor for antibiotics and cough medication-such as promethazine dm. Doctor: The cough is productive with the presence of sputum which is yellowish. This represents that there is an infective pathology for which you need suitable antibiotics. Also, you require broncholytic drugs which make the sputum thin and watery so that it may come out easily. Promethazine is helpful in dry non productive cough and it is used to suppress the cough. It can be harmful in productive cough with sputum because the infective sputum will not come out on its own once the cough is suppressed."
},
{
"from": "gpt",
"value": "Target: How to treat bad cough with yellow mucus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, m 21yrs old. m facing mentally problems like nervous,guilty, fear to talk someone and some physical problems like hair losses, eye swelling. i tense wat i do..., i had been masterbute for approx. 6 yrs., but since one year i have left it..., so wat the reason and wat are solutions for these problems. Doctor: Hi,Your problems are not related to masturbation and you do not need to feel guilty about masturbation. Some of your nervousness may be a part of your personality and some of it may be due to guilt. There may also be an anxiety disorder. Hair loss and other physical symptoms could be due to hormonal changes. In my opinion, you should consult a doctor and discuss these issues in detail.Best wishes."
},
{
"from": "gpt",
"value": "Target: What causes nervousness and swelling in eyes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my blood pressure is high and has been for 30 years ,last Friday I had a reading of 155/115 / . I'm 53 years old and in reasonable condition,dont take any medication and never have apart from the odd Lemon drink drink when full of flue. 3 doctors over the years have said my readings are high yet none have prescribed tablets,now I know when it is high as I feel jumpy and a bit on edge. It increases quite a bit if I drink more alcohol than I should. Should I insist that I go on some sort of drug to bring my blood pressure under control? Doctor: Hello SirAfter going through the details provided by you i would like to tell you that the recommended normal limit of Blood pressure is below 140/90 mmHg according to which yours is high.Leaving high blood pressure untreated at any age could possibly lead to STROKE, KIDNEY damage, HEART ATTACK and many more life threatening or debilitating conditions.So its advisable that you should be started on ANTI HYPERTENSIVE medication like AMLODIPINE or ANGIOTENSIN RECEPTOR BLOCKERS or BETA BLOCKERS. I would like to suggest you to consult a cardiologist personally, get your self evaluated and start treatment for high blood pressure.Do's and DONT'S:1. High salt in diet, junk and canned food.2. Do not smoke (if you do), 3. Avoid alcohol4. Daily morning walks for 45 min a day for 5 days a week.I wish you good health"
},
{
"from": "gpt",
"value": "Target: Suggest treatment to bring down blood pressure level"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have to take Diovan for my Blood pressure. What happens if i stop taking it? Also, i sometimes have night sweats. Is this a result of not taking the Diovan? Also, there are times when i don't eat and then i eat something with alot od salt, i become very disoriented to the point of passing out, seeing white spots, and sweating purfusly that i'm drenched in a matter of a minute. Doctor: A diet rich in salt, leads to high plasmatic osmotic pressure, causing liquids to move into the blood vessels, resulting to high blood pressure. Hipertension is clinically perceived as head ache, diziness, weakness and may be sweeting. The last symptom usually appears in case of secondary hypertension, such as hyperthyroidism or feocromocitoma.So the interruption of menartan doesn't cause sweeting, but the high blood presure does."
},
{
"from": "gpt",
"value": "Target: Suggest remedy to stop taking diovan for blood pressure"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was laid off. was under the care of an Orthopedic (femur bone) had surgery in Oct 2014. The doctor said he would not take Obama Care. I had made an appointment for Monday. Doctor called said he could not see me cause my surgery was performed in Oct 2014. Do I have the doctor relaese my care. Will another Orthopedic see me? What is the best thing to do? Doctor: Dear patient what is your present complaint? are you having pain in femur or not able to walk? Your surgery was don't before 3 years so you should be fine by now. If there is pain and difficulty in walking there might be problem with union of femur bone or implant related issues. I would like to advise xray of involved femur anteroposterior and lateral views to confirm diagnosis. Please get it done from radiology centre nearby you. If xray is abnormal please consult orthopaedic surgeon nearby your area."
},
{
"from": "gpt",
"value": "Target: Need advice on orthopedic care"
}
]
|
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